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Different families approach services to each other in different ways. Some charge each other full price (because they are making a living, after all) and some have family discounts and some freely exchange their skills. It sees to work best if all family members have the same expectations.
I think caregiving is a category of its own. Even if your brother provides his dental services at a deep discount to family members and your sister the mechanic works on family cars without charging for labor, it is still OK to charge for caregiving. A few hours a couple times a year does't some close to the time (and emotional) committment of caregiving, and the lost opportunity for earning other income. If your loved one had to go into a nursing home, or even have paid helpers come into the home, the cost would be higher and the service less personal.
If you do decide to charge, make sure the agreement is in writing. A handshake may be fine between you and the loved one, but having it in writing provides documentation if the person later has to apply to medicaid, or other family members get their noses out of joint because their inheritence is being spent on, of all things, the loved one's needs!
Good luck to you.
Make sure that you have a written agreement about wages, and be very sure to comply with your state's laws about employment taxes. As an employer, the person receiving the care must pay unemployment taxes in most states. You will probably wind up doing the paperwork yourself, but it may not be too complex - in my state, once my Dad had registered for an employer ID number, I did the taxes quarterly on the state's website, and after the first time, when I put in the information on names, addresses, etc., the website had all the information saved and I only had to enter what he had paid the employee (me) and I paid the taxes by credit card online. It only took about five minutes.
The employer also has to generate W-2 forms for all employees, but that is also not too complex - if you get a tax-filing program like Turbotax in the small-business version, it will do it for you, or if you take his taxes to a service, just tell them he has a domestic employee (you).
If you are the employee, remember that if your relative does not do withholding on your wages, you will have a tax bill to pay on your income tax. If you do the withholding, there again you will probably have to do the paperwork yourself.
Part of the wages he pays you for home care (or skilled care, if you are a nurse, LPN, or CNA) will be deductible as medical expenses on his income taxes, if he does itemized deductions.
And it's perfectly legal for his insurance, veteran's benefits, Medicare, or Medicaid to pay you, even though you are a relative, if you are providing services that would be covered if you were not a relative. In other words, if his insurance or other program would cover home-care services provided by an agency or a non-related care provider, it's legal for them to pay you for that service.
Don't skip the paperwork on taxes - although it's unlikely, if your relative gets audited, you both could wind up paying fines if you have tried to have your arrangement "under the table".
Always keep track of your working hours on paper, with brief descriptions of duties, in case there's any question about it.
Which brings us to other family members who may object to you being paid, and might try to "guilt" you into working for free. They may be sincerely concerned about the relative's finances, or it's possible they may be more concerned about what will be left over for them in his will. Show them the log of what work you do, and tell them to look into what it would cost to have a home-care aide provide the same services.
If they still try to "guilt" you into working for free, telling you that you should be happy to care for a loved one for nothing, just tell them that THEY can come and do the work for free any time they want to.
Coreylynn , I had to pay 30% off what I made so keep that under consideration when chosing your wages. I also pay for all the electric ($100 a month for her extra warm bederoom heater at night, the oil, $650 every 7-8 weeks, her food, clothes, diapers, bedpads, etc... too. I hired an accountant and its much easier that way. Save all receipts and pay an accountant about $300 a year, its worth it. He told me its normally 8 hours per day at $15 an hour, can be more though. It doesnt matter if you work 2 hours a day or 12, you still get paid 8 hours a day. I myself took 10 hours pay a day on weekends because I did 12 and once she was in bed, its not like I could go out. Once you get paid, pay taxes and all of his heating bills, etc, you still wont make much. My Moms money is gone now and we just have her small SS so I quit my job and hire minimal help for her so I can have a break, it makes me a better person and caregiver. Best of luck.
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